Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | CNP.0028965 | OH |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | CNP-00289065 | OH |
NPI | 1003059031 |
---|---|
Provider Name | Rhonda Kocinski |
First Address | Westlake, OH 44145-2157 |
Second Address | Westlake, OH 44145-2157 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2009 |
Last Update Date | 22/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1003059031 | (05) | OH |